Fingertip replantation with anastomosis of palm vein and retaining the nail
10.3969/j.issn.1003-0034.2013.08.007
- VernacularTitle:吻合掌侧静脉及保留指甲的指尖再植
- Author:
Xiang WANG
1
;
Kai Wei ZHANG
;
Meng Shao YIN
;
Bing Hai WANG
;
Tao HE
;
Qing Yong GONG
;
Ming Guo ZHU
;
Lian Gen MAO
;
Xing Ming HU
;
Jian LI
Author Information
1. 宁波明州医院手外科
- Keywords:
Finger injuries;
Soft tissue injuries;
Replantation;
Reconstructive surgical procedures
- From:
China Journal of Orthopaedics and Traumatology
2013;(8):639-641
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the replantation methods and clinical results of amputated fingertip. Methods:From Oc-tober 2007 to June 2011,18 fingers of 13 cases were replanted with anastomosis of palm vein and retaining the nail , including 9 males and 4 females,with an average age of 26 years old ranging from 17 to 45 years old. The time from injury to therapy was from 30 min to 5 h, time of broken finger ischemia was from 1.5 to 7 h. All broken fingers were preservation under normal tem-perature. Results:All fingers were survived, no vascular crisis happened. All cases were followed up from 3 to 24 months with an average of 14 months. The length and shape of replanted fingers were similar to that of the healthy side. The new nails were smooth, the function was perfect,the sense of pain and touched sensation had been recovered. Their two piont discriminations ranged from 3 to 6 mm with an average of 5 mm. According to the assessment standard of Chinese Medical Association of Hand Surgery,the results were excellent in 14 cases,good in 3 cases,poor in 1 case. Conclusion:Fingertip replantation with anasto-mosis of palm vein and retaining the nail is regained satisfactory appearance and function of the digits with a high survival rate.
